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Through-the-Scope Balloon Dilation for Endoscopic Ultrasound Staging of Stenosing Esophageal Cancer

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Abstract

Dilation of malignant esophageal strictures often is required to complete staging by endoscopic ultrasound (EUS). This study was designed to determine the successful dilation rate (ability to complete staging) and complication rate of through-the-scope (TTS) balloon dilation for malignant esophageal strictures during EUS. We retrospectively reviewed EUS reports for all cases of primary esophageal cancer staged at five centers between January 2002 and October 2004. All dilations were performed with TTS balloons. Among 272 endoscopic ultrasounds, dilation was required in 77 (28%) and was successful in 73 cases (95%). There was one esophageal perforation after dilation (1.3%; 95% confidence interval (CI), 0.2–7) and one esophageal perforation after EUS without dilation (0.5%; 95% CI, 0.1–2.8; P=0.48 by two-sided Fisher exact test). There were no other major complications. TTS balloon dilation is highly successful in permitting complete staging of obstructing tumors. The rate of complications after dilation with a TTS balloon dilator is low and similar to the baseline rate of EUS in this setting.

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Author information

Authors and Affiliations

  1. Section of Gastroenterology, Boston University Medical Center, 85 East Concord St., Room 7721, Boston, 02118, MA, USA

    Brian C. Jacobson

  2. University of Virginia, Charlottesville, Virginia, USA

    Vanessa M. Shami & Michel Kahaleh

  3. Oregon Health and Sciences University, Portland, Oregon, USA

    Douglas O. Faigel

  4. University of Chicago, Chicago, Illinois, USA

    Alberto Larghi, Charles Dye & Irving Waxman

  5. Veterans Administration Healthcare System, Boston, Massachusetts, USA

    Marcos Pedrosa

Authors
  1. Brian C. Jacobson
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  2. Vanessa M. Shami
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  3. Douglas O. Faigel
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  4. Alberto Larghi
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  5. Michel Kahaleh
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  6. Charles Dye
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  7. Marcos Pedrosa
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  8. Irving Waxman
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Corresponding author

Correspondence to Brian C. Jacobson.

Additional information

Institutions Participating in the Study: Boston University Medical Center, University of Virginia, Oregon Health and Sciences University, University of Chicago, Veterans Administration Healthcare System, Boston, Massachusetts.

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Jacobson, B.C., Shami, V.M., Faigel, D.O. et al. Through-the-Scope Balloon Dilation for Endoscopic Ultrasound Staging of Stenosing Esophageal Cancer. Dig Dis Sci 52, 817–822 (2007). https://doi.org/10.1007/s10620-006-9488-3

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  • DOI: https://doi.org/10.1007/s10620-006-9488-3

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